Question Answered step-by-step Case: Linda is a 23-year-old married white female (MWF). She went… Case: Linda is a 23-year-old married white female (MWF). She went to see her family doctor after she had experienced 2 months of nausea and vomiting . She had been on birth control pills for 2 years and was certain that she could not be pregnant. The physician did a pregnancy test, and it was positive. Linda had often skipped periods when taking the pill and did not consider three months without a period as unusual. She had been pregnant twice before. The first time was when she was 15 years old, and she had a first trimester elective abortion. The second time was three years ago, when she experienced a preterm birth at 28 weeks, and the baby died shortly after birth. That was a very traumatic experience for her, and she doesn’t remember much about the pregnancy. Today is her first prenatal visit with her midwife. Linda’s family doctor had sent her for an ultrasound, and she brings the results with her to this appointment. It indicates that the pregnancy is 14 weeks gestation. Her due date or estimated date of confinement (EDC) is April 18th. Linda has the following concerns:” I am worried about these bumps on my nipples, and why are my breasts so tender? Look at this line on my abdomen; where did that come from, and what is the brownish coloring on my face? I have this vaginal discharge. It doesn’t itch or smell bad, but it seems like a lot.” Questions: Respond to Linda’s concerns: ” I am worried about these bumps on my nipples and why are my breasts so tender?’ “Look at this line on my abdomen; where did that come from and what is the brownish coloring on my face? is it always going to be there?” ‘I have this vaginal discharge; It doesn’t itch or smell bad but seems like a lot. What is Linda’s obstetrical history (G/P) Linda is very excited because her due date is on her birthday. She asks the nurse how certain it is that the baby will be born on that date. How should the nurse respond? Linda admits that maybe she did miss a birth control pill several months ago. She continued to take them up to the day she saw her family doctor about the nausea and vomiting and found our she was pregnant. She asks the nurse how dangerous this might be to the baby she is carrying. How should the nurse reply? Besides ultrasound, how can the due date identified when there is no regular and accurate menstrual history to rely on? Linda asks when she can first expect to feel her baby move. What is the best response by the nurse? Everything is normal at the first visit. When should the nurse schedule Linda to return for her next prenatal visit? Identify at least three areas of education that the nurse needs to address at this initial visit. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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